机器人与腹腔镜胰体尾切除术的成本效果分析。
A cost-effectiveness analysis of robotic versus laparoscopic distal pancreatectomy.
机构信息
Department of General Surgery, Hospital Universitario HM Sanchinarro, HM Hospitales, Madrid, Spain.
Instituto de Validación de la Eficiencia Clínica (IVEC), Fundación de Investigación HM Hospitales, Madrid, Spain.
出版信息
Int J Med Robot. 2020 Apr;16(2):e2080. doi: 10.1002/rcs.2080. Epub 2020 Feb 11.
AIM
There is no study in the literature that evaluates the cost-effectiveness of robotic distal pancreatectomy (RDP) over laparoscopic distal pancreatectomy (LDP). We performed a comparative study of RDP and LDP with the aim of evaluating clinical and cost-effective outcomes.
MATERIAL AND METHODS
This is an observational, comparative prospective nonrandomized study. The primary end point was to compare the cost-effectiveness differences between both groups. A willingness to pay of €20 000 and €30 000 per quality-adjusted life year (QALY) was used as a threshold to recognize which treatment was most cost-effective.
RESULTS
A total of 31 RDP and 28 LDP have been included. The overall mean total cost was similar in both groups (RDP: €9712.15 versus LDP: €9424.68; P > .5). Mean QALYs for RDP (0.652) was higher than that associated with LDP (0.59) (P > .5).
CONCLUSION
This study seems to provide data of cost-effectiveness between RDP and LDP approaches, showing some benefits for RDP.
目的
目前尚无文献评估机器人辅助远端胰腺切除术（RDP）相对于腹腔镜远端胰腺切除术（LDP）的成本效益。我们进行了 RDP 和 LDP 的对比研究，旨在评估临床和成本效益的结果。
材料与方法
这是一项观察性、前瞻性、非随机的比较研究。主要终点是比较两组之间的成本效益差异。使用 20000 欧元和 30000 欧元/QALY 作为支付意愿阈值，以确定哪种治疗方法更具成本效益。
结果
共纳入 31 例 RDP 和 28 例 LDP。两组的总平均总成本相似（RDP：9712.15 欧元，LDP：9424.68 欧元；P >.5）。RDP 的平均 QALY（0.652）高于 LDP（0.59）（P >.5）。
结论
本研究似乎提供了 RDP 和 LDP 方法之间的成本效益数据，显示 RDP 具有一些优势。
Zotero 插件